Organization
ACTIVE LIFESTYLE MEDICAL PC
Active
Organization
ACTIVE LIFESTYLE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L TINLIN DC (PRESIDENT SENIOR CLINICIAN)
(480) 860-0300
Entity
Organization
Contact information
Practice address
9449 N 90TH ST, STE 114, SCOTTSDALE, AZ 85258-5099
(480) 860-0300
(480) 422-4321
Mailing address
9449 N 90TH ST, STE 114, SCOTTSDALE, AZ 85258-5099
(480) 860-0300
(480) 422-4321
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
000000000928481
AZ
Other
Enumeration date
04/08/2006
Last updated
02/08/2015
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